Organization Active NPI

Adirondack Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clifton Park, NY
National Provider Identifier
1922748177
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ADIRONDACK ORTHODONTICS
Practice address
939 Route 146 Ste 4
Clifton Park, NY 12065-3629
Phone
(518) 631-9771
NPI assigned
Mar 29, 2022
Last updated
Mar 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Rocklin
Title
Credentialing Specialist
Phone
(518) 867-5073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

939 Route 146 Ste 4
Clifton Park, NY 12065-3629

Mailing address

939 Route 146 Ste 4
Clifton Park, NY 12065-3629

National Provider Directory

National Provider Directory

Locations

939 Route 146
Ste 4
Clifton Park, NY 12065
Phone (518) 631-9771

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1922748177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146 STE 4",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146 STE 4",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653629",
            "telephone_number": "518-631-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "ROCKLIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "518-867-5073"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.